The Thoracic Imaging Fellowship runs over 12 months

The Fellowship comprises:

  • ~40 weeks of core fellowship
    • 6 CT sessions
    • 1 academic session
    • 3 general sessions (US / emergency/private rooms)
  • 5 weeks annual leave
  • call / out-of-hours
    • night shift: 2 - 3 weeks per year, followed by equal number of ‘off roster weeks’ (which can be concatenated with annual leave)
    • weekend days: approximately 6 - 8 individual weekend days per year (8am - 7pm)
    • evenings: approximately 15 - 20 evening shift per year (1pm - 10:30pm) preceded by a morning off
  • 2 weekly multidisciplinary clinical meetings

During the year you can expect / will be expected to report:

  • ~1200 CT Studies (range is between 1000 to 1900)
  • ultrasound / plain films etc... as per general sessions

CT sessions

  • sessions: 6 per core week
  • reporting chest CTs; these may be sent to one of the subspecialty Thoracic Imaging Consultants if they are not the rostered Consultant Radiologist in CT
  • reporting non-thoracic inpatient and urgent outpatient scans and reviewing them with rostered consultant
  • performing CT procedures including chest biopsies, nerve root injections, abdominal biopsies and drainages; a small number of RFA cases (mainly renal, occasional thoracic) are also performed, and the Fellow is welcome to assist in these
  • protocolling studies
  • supervising the inpatient scanner
    • responsible for reviewing scans / protocols as necessary
    • responsible for managing emergency add-ons

Clinical meetings

Meetings form a cornerstone of the fellowship year. They give you access not only to a distilled sub-population of abnormal and clinically demanding cases, but also grant you an insight into the place imaging occupies in modern multidisciplinary management of these patients. Additionally, presenting these meetings develops your skills in discussing imaging findings with a group of senior clinicians. Although the following meetings are the 'routine' meetings attached to your fellowship, on occasion you will be required to take clinical meetings for other units, not necessarily related to your fellowship. This is mainly the case at the start of the academic year while the new first year registrars are finding their feet.

Thoracic oncology meeting

  • frequency: weekly (Fri 0830)
  • consultant: SH/JMV
  • attendance: weekly
  • role: preparing / running the meeting:

Respiratory medicine meeting

  • frequency: weekly (Tue 0800)
  • consultant: SH
  • attendance: weekly
  • role when attending: preparing / running meeting
  • frequency: weekly (Thurs 16:00)
  • consultant: EL
  • attendance: monthly (if interested can upscale this to fortnightly at fellows discretion)
  • role when attending: preparing / running the meeting

Academic session

Each week an academic session is included in the roster. This is not an ‘afternoon off’ but rather a time to prepare meetings / conduct research / reading etc. Presence on campus is not mandatory, provided a similar amount of time a week is being spent on activities out of hours. Expectations:

  1. complete at least one study which could be presented at a national or international meeting and ideally lead to a publication
  2. involvement in projects / activities within the department targeted at improving the Thoracic Imaging service
  3. involvement in teaching registrars

Quarterly review

Each quarter an informal meeting with the fellowship director (or equivalent) will occur giving each fellow the opportunity to receive and give feedback on fellowship so far, including how well reciprocal expectations are being met, workload / productivity, possible ways of improving the fellowship.

These will occur roughly in April, July, October, January.